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10.09.2015 | Original Research

Intervention leads to improvements in the nutrient profile of snacks served in afterschool programs: a group randomized controlled trial

verfasst von: Michael W. Beets, MEd, MPH, PhD, Brie Turner-McGrievy, PhD, MS, RD, R. Glenn Weaver, PhD, Jennifer Huberty, PhD, Justin B. Moore, PhD, Dianne S. Ward, EdD, Darcy A. Freedman, MPH, PhD

Erschienen in: Translational Behavioral Medicine | Ausgabe 3/2016

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Abstract

Widely adopted nutrition policies for afterschool programs (ASPs) focus on serving a fruit/vegetable daily and eliminating sugar-sweetened foods/beverages. The impact of these policies on the nutrient profile of snacks served is unclear. Evaluate changes in macro/micronutrient content of snacks served in ASPs. A 1-year group randomized controlled trial was conducted in 20 ASPs serving over 1700 elementary-age children. Intervention ASPs received a multistep adaptive framework intervention. Direct observation of snack served was collected and nutrient information determined using the USDA Nutrient Database, standardized to nutrients/100 kcal. By post-assessment, intervention ASPs reduced total kcal/snack served by 66 kcal (95CI −114 to −19 kcal) compared to control ASPs. Total fiber (+1.7 g/100 kcal), protein (+1.4 g/100 kcal), polyunsaturated fat (+1.2 g/100 kcal), phosphorous (+49.0 mg/100 kcal), potassium (+201.8 mg/100 kcal), and vitamin K (+21.5 μg/100 kcal) increased in intervention ASPs, while added sugars decreased (−5.0 g/100 kcal). Nutrition policies can lead to modest daily caloric reductions and improve select macro/micronutrients in snacks served. Long-term, these nutritional changes may contribute to healthy dietary habits.

National Afterschool Association. The NAA standards for quality school-age care. Washington, D.C.: National Afterschool Association; 2008.

National Afterschool Association. Standards for Healthy Eating and Physical Activity in Out-Of-School Time Programs 2011 [cited 2011 December 2]. Available from: http://naaweb.org/resources/item/56-healthy-eating.

Peterson E. First lady announces two new commitments to healthy eating and physical activity afterschool: Afterschool Alliance; 2014 [cited 2014 March 1]. Available from: http://www.afterschoolalliance.org/afterschoolsnack/printPage.cfm?idBlog=6FD1B2AD-215A-A6B3-02AAB84B1F59DA3F; http://ahealthieramerica.org/media/news-releases/#5482,news.

Wiecha JL, Gannett L, Hall G, Roth BA. National Afterschool Association Standards for Healthy Eating and Physical Activity in Out-Of-School Time Programs Wellesley, MA2011 [cited 2011 August 8]. Available from: Available at: www.niost.org.

Wiecha JL, Hall G, Gannett E, et al. Development of healthy eating and physical activity quality standards for out-of-school time programs. Child Obes. 2012; 8(6): 572-6.CrossRefPubMed

Beets MW, Tilley F, Weaver RG, Turner-McGrievy G, Moore JB, Webster C. From policy to practice: addressing snack quality, consumption, and price in after-school programs. J Nutr Educ Behav. 2013.

Cassady D, Vogt R, Oto-Kent D, et al. The power of policy: a case study of healthy eating among children. Am J Public Health. 2006; 96(9): 1570-1.CrossRefPubMedPubMedCentral

Giles CM, Kenney EL, Gotrtmaker SL, et al. Increasing water availability during afterschool snack: evidence, strategies, and partnerships from a group randomized trial. Am J Prev Med. 2012; 43(3S2): S136-S42.CrossRefPubMed

Mozaffarian RS, Wiecha JL, Roth BA, et al. Impact of an organizational intervention designed to improve snack and beverage quality in YMCA after-school programs. Am J Public Health. 2010; 100(5): 925-32.CrossRefPubMedPubMedCentral

10.

Beets MW, Tilley F, Turner-McGrievy G, et al. Community partnership to address snack quality and cost in after-school programs. J School Health. 2014; 84(8): 543-8.CrossRefPubMedPubMedCentral

11.

Beets MW, Weaver RG, Turner-McGrievy G, Huberty J, Ward DS, Freedman DA, et al. Making healthy eating policy practice: A group randomized controlled trial on changes in snack quality, costs, and consumption in afterschool programs. American Journal of Health Promotion. in press.

12.

Beets MW, Glenn Weaver R, Turner-McGrievy G, et al. Making healthy eating and physical activity policy practice: the design and overview of a group randomized controlled trial in afterschool programs. Contemp Clin Trials. 2014; 38(2): 291-303.CrossRefPubMedPubMedCentral

13.

Beets MW, Tilley F, Kim Y, et al. Nutritional policies and standards for snacks served in after-school programmes: a review. Public Health Nutr. 2011; 14(10): 1882-90.CrossRefPubMed

14.

Beets MW, Webster C, Saunders R, et al. Translating policies into practice: a framework for addressing childhood obesity in afterschool programs. Health Promot Pract. 2013; 14(2): 228-37.CrossRefPubMed

15.

Beets MW. Enhancing the translation of physical activity interventions in afterschool programs. Am J Lifestyle Med. 2012; 6(4): 328-41.CrossRef

16.

Beets MW, Weaver RG, Turner-McGrievy G, Huberty J, Ward D, Freedman DA, et al. Making healthy eating and physical activity policy practice: the design and overview of a group randomized controlled trial in afterschool programs. Contemporary Clinical Trials. in press.

17.

Ajja R, Beets MW, Huberty J, et al. The healthy afterschool activity and nutrition documentation instrument. Am J Prev Med. 2012; 43(3): 263-71.CrossRefPubMedPubMedCentral

18.

Weaver RG, Beets MW, Webster C, et al. A conceptual model for training after-school program staffers to promote physical activity and nutrition. J School Health. 2012; 82(4): 186-95.CrossRefPubMed

19.

Beets MW, Huberty J, Beighle A. Systematic observation of physical activity in afterschool programs: preliminary findings from movin' afterschool intervention. J Phys Act Health. 2013; 10(7): 974-81.CrossRefPubMed

20.

Beets MW, Tilley F, Weaver RG, et al. From policy to practice: addressing snack quality, consumption, and price in after-school programs. J Nutr Educ Behav. 2014; 46(5): 384-9.CrossRefPubMed

21.

Wandersman A, Duffy J, Flaspohler P, et al. Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol. 2008; 41(3-4): 171-81.CrossRefPubMed

22.

Hawe P, Shiell A, Riley T. Complex interventions: how “out of control” can a randomised controlled trial be? BMJ. 2004; 328(7455): 1561-3.CrossRefPubMedPubMedCentral

23.

Israel BA, Schulz AJ, Parker EA, et al. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998; 19: 173-202.CrossRefPubMed

24.

Maslow AH. A theory of human motivation. Psychol Rev. 1943; 50: 370-96.CrossRef

25.

Butler SF, Strupp HH. Specific and nonspecific factors in psychotherapy—a problematic paradigm for psychotherapy research. Psychotherapy. 1986; 23(1): 30-40.CrossRef

26.

Chatoor I, Krupnick J. The role of non-specific factors in treatment outcome of psychotherapy studies. Eur Child Adolesc Psychiatry. 2001; 10(Suppl 1): I19-25.CrossRefPubMed

27.

Collins LM, Murphy SA, Bierman KL. A conceptual framework for adaptive preventive interventions. Prev Sci. 2004; 5(3): 185-96.CrossRefPubMedPubMedCentral

28.

U.S. Department of Agriculture Food and Nutrition Service. Monitoring Handbook for State Agencies: A Child and Adult Care Food Program Handbook. U.S. Department of Agriculture, 2013.

29.

Beets MW, Tilley F, Turner-McGrievy G, Weaver RG, Jones SJ. Community partnership to address snack quality and cost in afterschool programs. J Sch Health. in press.

30.

Tilley F, Beets MW, Jones S, Turner-McGrievy G. Evaluation of compliance to national nutrition policies in summer day camps. Public Health Nutr. 2014:1-6.

31.

Mozaffarian RS, Wiecha JL, Roth BA, Nelson TF, Lee RM, Gortmaker SL. Impact of an Organizational Intervention Designed to Improve Snack and Beverage Quality in YMCA After-School Programs. Am J Public Health. 2009.

32.

US Department of Agriculture, Agricultural Research Service. USDA National Nutrient Database for Standard Reference, Release 25 2012 [cited 2014 August 8]. Available from: Nutrient Data Laboratory home page. Available at www.ars.usda.gov/ba/bhnrc/ndl.

33.

Beets MW, Tilley F, Kyryliuk R, et al. Children select unhealthy choices when given a choice among snack offerings. J Acad Nutr Diet. 2014; 114(9): 1440-6.CrossRefPubMedPubMedCentral

34.

Beets MW, Weaver RG, Tilley F, et al. Salty or sweet? Nutritional quality, consumption, and cost of snacks served in afterschool programs. J School Health. 2015; 85(2): 118-24.CrossRefPubMedPubMedCentral

35.

Darmon N, Darmon M, Maillot M, et al. A nutrient density standard for vegetables and fruits: nutrients per calorie and nutrients per unit cost. J Am Diet Assoc. 2005; 105(12): 1881-7.CrossRefPubMed

36.

Drewnowski A, Maillot M, Darmon N. Should nutrient profiles be based on 100 g, 100 kcal or serving size? Eur J Clin Nutr. 2009; 63(7): 898-904.CrossRefPubMed

37.

Fisher JO, Mennella JA, Hughes SO, et al. Offering “dip” promotes intake of a moderately-liked raw vegetable among preschoolers with genetic sensitivity to bitterness. J Acad Nutr Diet. 2012; 112(2): 235-45.CrossRefPubMed

38.

Savage JS, Fisher JO, Marini M, et al. Serving smaller age-appropriate entree portions to children aged 3-5 y increases fruit and vegetable intake and reduces energy density and energy intake at lunch. Am J Clin Nutr. 2012; 95(2): 335-41.CrossRefPubMed

39.

Keenan MJ, Zhou J, McCutcheon KL, et al. Effects of resistant starch, a non-digestible fermentable fiber, on reducing body fat. Obes (Silver SpringMd. 2006; 14(9): 1523-34.CrossRef

40.

Astrup A. The satiating power of protein—a key to obesity prevention? Am J Clin Nutr. 2005; 82(1): 1-2.PubMed

41.

Parikh S, Pollock NK, Bhagatwala J, et al. Adolescent fiber consumption is associated with visceral fat and inflammatory markers. J Clin Endocrinol Metab. 2012; 97(8): E1451-7.CrossRefPubMedPubMedCentral

42.

Bontrager Yoder AB, Schoeller DA. Fruits and vegetables displace, but do not decrease, total energy in school lunches. Child Obes. 2014; 10(4): 357-64.CrossRefPubMedPubMedCentral

43.

Fulton SL, McKinley MC, Young IS, Cardwell CR, Woodside JV. The effect of increasing fruit and vegetable consumption on overall diet: a systematic review and meta-analysis. Critical reviews in food science and nutrition. 2014.

44.

U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. U.S. Government Printing Office: Washington, DC, 2010 December 2010. Report No.

45.

Beets MW, Weaver RG, Tiley F, Turner-McGrievy G, Huberty J, Ward DS, et al. Salty or Sweet? Nutritional quality, consumption, and cost of snacks served in afterschool programs. J Sch Health. in press.

Titel: Intervention leads to improvements in the nutrient profile of snacks served in afterschool programs: a group randomized controlled trial
verfasst von: Michael W. Beets, MEd, MPH, PhD
Brie Turner-McGrievy, PhD, MS, RD
R. Glenn Weaver, PhD
Jennifer Huberty, PhD
Justin B. Moore, PhD
Dianne S. Ward, EdD
Darcy A. Freedman, MPH, PhD
Publikationsdatum: 10.09.2015
Verlag: Springer US
Erschienen in: Translational Behavioral Medicine / Ausgabe 3/2016
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-015-0342-z

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Intervention leads to improvements in the nutrient profile of snacks served in afterschool programs: a group randomized controlled trial

Abstract

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

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